Angiographic Assessment of the Stretch-Recoil-Gain Relation After Ballon Coarctation Angioplasty and Its Relation to Late Restenosis
スポンサーリンク
概要
- 論文の詳細を見る
The effects of stretch and immediate recoil after balloon angioplasty were evaluated in 21 patients with coarctation of the aorta who underwent balloon coarctation angioplasty. A total of 28 procedures were performed in these patients, who ranged in age from 1 month to 17 years with a mean of 4.3 years. The systolic pressure gradient and coarcted diameter changed significantly from 42±22 to 14±9 mmHg(P<0.0001)and from 4.0±1.7 to 6.1±2.0 mm(P<0.001), respectively. Immediate recoil was responsible for the loss of 33% of the potentially achievable coarcted dimension. Recoil was determined mainly by the degree of arterial stretch. Gain increased exponentially with an increase in stretch. There was a narrow range of % stretch(60-80%)within which an effective diameter gain could be obtained. Both gain and stretch were the best predictors for late restenosis : patients with a larger immediate gain and stretch developed more restenosis. These results suggest that the stretch-recoil-gain relationship may be clinically important for evaluating the best predictor of late restenosis after balloon coarctation angioplasty.
- 社団法人日本循環器学会の論文
- 1996-01-20
著者
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Watanabe Mikio
Department of Cardiovascular Surgery, Toranomon Hospital
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Hosoda Yasuyuki
Department Of Cardiothoracic Surgery Juntendo University School Of Medicine
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Kawasaki Shiori
Department Of Cardiovascular Medicine Juntendo University School Of Medicine
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YABUTA Keijiro
Department of Pediatrics, Juntendo University of school Medicine
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Yabuta Keijiro
Department Of Pediatrics Juntendo University School Of Medicine
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Yabuta Keijiro
Department Of Pediatrics Juntendo University Of School Medicine
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Ino Toshihiro
Department of Pediatrics, Juntendo University School of Medicine
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Nishimoto Kei
Department of Pediatrics, Juntendo University School of Medicine
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Ohkubo Mataichi
Department of Pediatrics, Juntendo University School of Medicine
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Hosoda Yasuyuki
Department Of Thoracic Surgery Juntendo University School Of Medicine
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Akimoto Katsumi
Department of Pediatrics, Juntendo University School of Medicine
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Nishimoto Kei
Department Of Pediatrics Juntendo University School Of Medicine
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Ino Toshihiro
Department Of Pediatrics Juntendo University School Of Medicine
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Ohkubo Mataichi
Department Of Pediatrics Juntendo University School Of Medicine
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Watanabe Mikio
Department Of Biology Aichi Kyoiku University
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Kawasaki Shiori
Department Of Thoracic Surgery Juntendo University School Of Medicine
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Kawasaki Shiori
Department Of Cardiothoracic Surgery Juntendo University School Of Medicine
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Akimoto Katsumi
Department Of Pediatrics Juntendo University School Of Medicine
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Watanabe Mikio
Department Of Thoracic Surgery Juntendo University School Of Medicine
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INO Toshihiro
Department of Pediatrics and the Juntendo University School of Medicine
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YABUTA Keijiro
Department of Pediatrics and the Juntendo University School of Medicine
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